论文部分内容阅读
目的探索脊柱侧弯矫形术中七氟烷联合丙泊酚静吸复合麻醉对体感诱发电位(somatosensory evoked potential,SEP)及运动诱发电位(motor evoked potential,MEP)的影响,并对2种麻醉方式效果进行评估,为七氟烷联合丙泊酚静吸复合麻醉提供临床参考。方法选取2013年1月—2016年1月收治的青少年患者共60例,患者均需要采用脊柱侧弯矫形术进行矫正,按照随机数字表法随机分为A组(丙泊酚全凭静脉麻醉组)和B组(七氟烷-丙泊酚静吸复合麻醉组)各30例,比较2组患者一般情况(体重、手术时间、出血量)、血流动力学(患者各时点心率、各时点动脉压)、体感诱发电位、运动诱发电位成功率以及睁眼、拔管时间,使用SPSS 19.0统计学软件,2组比较采用独立样本t检验进行数据比较分析。结果 2组患者手术时间(t=0.15,P=0.87)、出血量(t=0.33,P=0.74)、MEP成功率(t=0.00,P=1.00)、SEP成功率(t=0.00,P=1.00)相比,差异无统计学意义(P>0.05);术后B组较A组睁眼时间(t=4.47,P=0.00)、拔管时间缩短(t=3.60,P=0.00),差异有统计学意义(P<0.05)。结论七氟烷-丙泊酚静吸复合麻醉用于脊柱侧弯矫形术,患者术后苏醒快,可能更利于术后神经功能的评估。
Objective To investigate the effects of sevoflurane plus propofol combined inhalation anesthesia on somatosensory evoked potential (SEP) and motor evoked potential (MEP) in scoliosis orthopedics. The effects of two anesthesia methods Effect evaluation, sevoflurane combined with propofol static anesthesia provide clinical reference. Methods Totally 60 adolescents were enrolled in our hospital from January 2013 to January 2016. All patients were treated with scoliosis orthopedic surgery and randomly divided into group A (propofol total intravenous anesthesia group ) And group B (sevoflurane - propofol static inhalation combined anesthesia group) 30 cases in each group, the general situation (body weight, operation time, blood loss), hemodynamics Time point arterial pressure), somatosensory evoked potential, motor evoked potential success rate, and eyes open, extubation time, the use of SPSS 19.0 statistical software, two groups were compared using independent samples t-test data comparison analysis. Results The operative time (t = 0.15, P = 0.87), bleeding volume (t = 0.33, P = 0.74), MEP success rate (t = 0.00, There was no significant difference between the two groups (P> 0.05), the difference was not statistically significant (P> 0.05) , The difference was statistically significant (P <0.05). Conclusions Sevoflurane - Propofol static inhalation combined anesthesia is used in scoliosis orthopedics. The patients recovered quickly after operation, which may be more conducive to the assessment of postoperative neurological function.